Characteristics of COVID-19 Infection in Patients without a History of Travel to Infected Areas or Direct Contact with a Case-Patient

J Nippon Med Sch. 2020;87(4):240-242. doi: 10.1272/jnms.JNMS.2020_87-411.

Abstract

Objective: Little is known about COVID-19 patients who have not traveled to infected areas or had direct contact with infected persons. This report describes the clinical features of 28 such patients with confirmed COVID-19 infection.

Methods: Data on clinical characteristics during hospitalization were collected.

Results: Epidemiological exposures were investigated among patients reporting no travel to infected areas or direct contact with a case-patient. Patients presented with various symptoms, increased levels of inflammatory markers, and consolidation or ground-glass opacification on computed tomography scans.

Conclusions: The present report contributes critical information on the clinical presentation of COVID-19 patients without typical epidemiological exposures.

Keywords: COVID-19; computed tomography; epidemiology; infection; novel coronavirus.

MeSH terms

  • Adult
  • Aged
  • Betacoronavirus / pathogenicity*
  • COVID-19
  • COVID-19 Testing
  • China / epidemiology
  • Clinical Laboratory Techniques*
  • Coronavirus Infections / diagnosis*
  • Coronavirus Infections / epidemiology
  • Coronavirus Infections / transmission
  • Coronavirus Infections / virology
  • Female
  • Hospitalization
  • Host Microbial Interactions
  • Humans
  • Inflammation Mediators / blood
  • Male
  • Middle Aged
  • Pandemics
  • Pneumonia, Viral / diagnosis*
  • Pneumonia, Viral / epidemiology
  • Pneumonia, Viral / transmission
  • Pneumonia, Viral / virology
  • Predictive Value of Tests
  • Risk Factors
  • SARS-CoV-2
  • Tomography, X-Ray Computed

Substances

  • Inflammation Mediators